Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keith Earl Mauller, PA-C

Individual provider Surgical Physician Assistant · NPI 1346325628

Keith Earl Mauller, PA-C is a Surgical Physician Assistant in Saint Louis, Missouri. Practices as a sole proprietor. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone: (314) 652-4100
Fax: (314) 289-7034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1346325628
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 26, 2006
Last updated in NPPESJuly 8, 2007

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